Sample Record for 2023-05-09-54
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 215396 DEA: 042K8404 EFIS: 0417000031
QA Service Level: 1
DIST-CO-RTE-PM: 04-SOL-29,80-0.0,0.8/1.6
Work Description: HMA, STRUCTURAL CONCRETE, CIDH PILING AND REBAR.
Location Description: SOLANO COUNTY IN VALLEJO AT ROUTE 80/29 SEPARATION AND ON ROUTE 80 FROM 0.2 MILE NORTH OF CARQUINEZ BRIDGE TOLL PLAZA TO 0.3 MILE SOUTH OF MAGAZINE STREET OVERCROSSING
Contractor Name: OC Jones & Sons Inc
Contractor Address: 1520 4th Street, Berkeley, CA 94710
Resident Engineer: Noel Aquino Structure Rep.: Angelo Perez
Sample Information
DIME Sample ID: 2023-05-09-54
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - Fairfield Construction Field Office 59-545
Sample Organization Contact: 510-714-7055
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 05/09/2023
Date that the sample was received by the laboratory/organization performing the testing: 05/10/2023
The quantity of what the sample constitutes: 21
A brief description of the sample: Stage 3 Type 836 barrier
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier: 23-0259
Structure name: Route 80/29 Separation
The fabricator/manufacturer/facility name: Central Plant Martinez
Material Information
The concrete mix design number: D20115EA
The truck number from where the sample was collected: 4
The batch plant ticket number from where the sample was collected: 335801
Concrete batch plant: Central Plant Martinez
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Concrete from wheelbarrow
Where the material sample would have been placed if not sampled: Stage 3 Type 836 barrier
From Lot No.:
Bag Lot No.:
Test Results
Tests Assigned to this Sample
| DIME Test ID | Test Method | Assigned Date | Test Date | Assigned By | Assigned Lab | Test Comments | Assigned To |
| 2023-05-09-54-1 | ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens | 05/12/2023 | Not scheduled | Mohan Ayadurai | CT HQ - Sacramento Concrete Testing Laboratory | | |
72796
